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Nursing homeFAID #14279

Arbor Grace Guest Care Center

2700 S. Henderson Blvd., KILGORE, TX, 75662

(903) 984-3511

www.arborgraceguestcare.com/?utm_source=google&utm_medium=organic&utm_campaign=gbp

127 licensed beds

CMS rates Arbor Grace Guest Care Center 2 out of 5 overall. Federal inspectors issued 34 citations across 13 inspections in the last three years, with $121,612 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo via Google · Arbor Grace Guest Care Center

Address

2700 S. Henderson Blvd.

Kilgore, TX 75662

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Public record summary

What we can show you for free.

Bed capacity

127

CMS facility ID

675814

Care type

Nursing home

County

Rusk

Facility name

Arbor Grace Guest Care Center

Street address

2700 S. Henderson Blvd.

City / state / ZIP

Kilgore, TX 75662

Phone

(903) 984-3511

Website

www.arborgraceguestcare.com/?utm_source=google&utm_medium=organic&utm_campaign=gbp

About this facility — Arbor Grace Guest Care Center

Arbor Grace Guest Care Center is a Medicare/Medicaid-certified skilled nursing facility in Kilgore, Texas. It is licensed for 127 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Kilgore and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Arbor Grace Guest Care Center 34 times across 13 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $121,612 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Corporation

Registered owners & officers

Gamble, Denny

Operational control — since 2023

Gamvest Texas Llc

Additional disclosable party — since 2023

Hooper, Grady

Officer — since 2023

K-j-k Venture, Llc

Additional disclosable party — since 2023

Kegarise, Brandon

Operational control · Additional disclosable party — since 2023

Machen Health Management Llc

Additional disclosable party — since 2023

Machen, Matt

Operational control — since 2023

Mpd Acquisition of Kilgore, Llc

Mortgage holder · Additional disclosable party — since 2023

Mpd Texas Resources of Kilgore Llc

Operational control · Additional disclosable party — since 2023

Shen, Hong-i

Operational control · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since

1999-12-14

CMS overall rating

2 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

$121,612 total

Last standard inspection

2026-06-17

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$208 per day (≈ $6,320/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

59% Medicaid · 12% Medicare · 29% private/other

Occupancy

61% (fiscal year 2023)

Vs. state median

25% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

127

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-17Health inspectionComplaint-triggered8 citations

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2026-06-18

F-0605

E · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-07-09

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2026-07-07

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-07-09

F-0688

D · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2026-07-09

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-06-18

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-07-09

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2026-07-09

2026-04-29Health inspectionComplaint-triggered1 citation

F-0684

J · Immediate jeopardyFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-05-01

8 earlier / fire-safety inspections (25 citations)

2025-04-02Health inspectionComplaint-triggered4 citations

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-23

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-04-23

F-0761

D · No harm foundFrom a complaint

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-04-23

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-23

2024-03-20Health inspectionComplaint-triggered5 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-21

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-03-21

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-21

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-21

F-0908

F · No harm found

Keep all essential equipment working safely.

Corrected 2024-03-21

2024-02-29Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-01

2024-02-23Health inspectionComplaint-triggered1 citation

F-0585

D · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-02-24

2023-11-20Health inspectionComplaint-triggered3 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-11-21

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-11-21

F-0809

D · No harm foundFood safetyFrom a complaint

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2023-11-21

2026-06-17Fire-safety inspection4 citations

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-06-17

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-06-17

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-06-17

K-0521

B · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2025-04-02Fire-safety inspection4 citations

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2025-04-23

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-23

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-04-23

2024-03-20Fire-safety inspection3 citations

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-04-10

K-0511

B · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-04-10

K-0521

B · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal penalties

2026-04-29Fine$121,612

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675814.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 50% of nursing homes in the state

State median: 33

Federal fines, 3 years

$121,612

More than 89% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.6

Higher than 79% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

66%

Higher than 85% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 10 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	25.3%	15.8%	13.5%	Worse than state
Lose too much weight	0.6%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.2%	0.3%	0.7%	Better than state
With a urinary tract infection	2.7%	0.8%	1.5%	Worse than state
Have depressive symptoms	0.8%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.1%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	8.6%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	18.8%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	5.7%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	15.7%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	0.0%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.54	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.48	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.8%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	93.5%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	31.8%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	19.4%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0372 3 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 2 inspections. Provide and implement an infection prevention and control program.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Christus Good Shepherd Medical Center, about 12 miles. CMS rating 4 of 5.
Longview Regional Medical Center, about 14 miles. CMS rating 3 of 5.
Ut Health East Texas Henderson Hospital, about 15 miles. CMS rating 5 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Willow Rehab & Nursing, Kilgore, about 0.7 miles. CMS rating 2 of 5.
Avir At Overton, Overton, about 8.2 miles. CMS rating 2 of 5.
Pine Tree Lodge Nursing Center, Longview, about 12 miles. CMS rating 1 of 5.
Highland Pines Nursing Home, Longview, about 13 miles. CMS rating 2 of 5.
Truman W Smith Children's Care Center, Gladewater, about 14 miles. CMS rating 5 of 5.

Visitor reviews

What people say on Google.

4.351 ratings on Google

★★★★★Shanon Ross · 2023-01-10 · via Google
“I enjoy my visits to arbor Grace. The facility always smells nice and is always clean. Often the residents are engaged in some form of activity with staff when I visit. The front desk staff are welcoming and the sign in process is easy and thorough. Staff have consistently been helpful with any questions I have as well.”

★★★★★Matt Machen · 2024-06-04 · via Google
“I want to thank the staff at Arbor Grace for the 11 rehab to home success stories just in the month of May. The leadership and team at Arbor Grace are first class. Keep the great work up. God Bless.”

★★★★★Shelly Longacre · 2024-06-04 · via Google
“Arbor Grace is an asset to the Kilgore community. They have a very caring staff and the facilty is beautiful. Highly recommend for rehab as well as long term care.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 34 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

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